The effects of a self-management program based on the 5 A's model on self-efficacy among older men with hypertension

Moradi, Mojtaba. and Nasiri, Mahboobeh. and Jahanshahi, Mehri. and Hajiahmadi, Mahmod. (2019) The effects of a self-management program based on the 5 A's model on self-efficacy among older men with hypertension. Nursing and Midwifery Studies, 8 (1). pp. 21-27.

[img] Text
The Effects of a Self‑Management Program Based on the 5 A’s Model .pdf

Download (592kB)
Official URL: http://www.nmsjournal.com/text.asp?2019/8/1/21/247...
DOI: UNSPECIFIED

Abstract

Background:Aging population is progressively increasing. Older adults suffer from the different chronic health conditions such as hypertension. Behavior change is a key strategy for effective hypertension management. Successful behavior change necessitates the adequate self-efficacy. Objectives:This study aimed to evaluate the effects of a self-management program based on the 5 A's model on self-efficacy among the older men with hypertension. Methods:This randomized controlled trial was conducted in 2016-2017 on older men with hypertension in Ramsar, Iran. In total, 60 eligible participants were randomly allocated to an intervention and a control group. The participants in the intervention group were offered a self-management program based on the 5 A's behavior change model. Data were collected using a demographic questionnaire, a hypertension assessment form, the Self-Efficacy for Managing Chronic Disease Scale, and the hypertension Self-Efficacy Scale. Self-efficacy scales were completed for participants both before and 12 weeks after the intervention onset. The paired- and independent-sample t, Wilcoxon signed-rank, Mann-Whitney U, and Chi-square tests were used in the data analysis. Results:The pretest mean scores of hypertension self-efficacy in the intervention and the control groups were, respectively, 48.62 ± 11.71 and 44.65 ± 15.4, which significantly increased to 79 ± 13.13 and 62.06 ± 15.38 at posttest (P < 0.001). Moreover, the pretest mean scores of chronic disease management self-efficacy in these groups significantly increased from, respectively, 5.64 ± 1.28 and 5.35 ± 1.40 at pretest to 8.05 ± 1.29 and 6.12 ± 1.48 at posttest (P< 0.001). The pretest-posttest mean differences of the mean scores of both types of self-efficacy in the intervention group were significantly greater than the control group (P< 0.001).Conclusion: The self-management program based on the 5 A's model is effective in significantly improving the self-efficacy among older men with hypertension.

Item Type: Article
Subjects: Medicine
Nursing
Divisions: Nursing and Midwifery Studies journal
Depositing User: editor . nursing
Date Deposited: 25 Dec 2018 06:32
Last Modified: 25 Dec 2018 06:32
URI: http://eprints.kaums.ac.ir/id/eprint/3620

Actions (login required)

View Item View Item